<?xml version="1.0" encoding="UTF-8"?>
<table class="container" cellpadding="0" cellspacing="3">
  <tr>
    <td colspan="2" id="content">
      <div class="INSTRUCTION   field_531 ">
        <span class="label">Pedido de estudios de laboratorio:</span>
        <span class="content">
          <div class="CLUSTER   field_532 ">
            <span class="label">Rutinas de laboratorio:</span>
            <span class="content">
              <div class="ELEMENT ELEMENT_DV_BOOLEAN field_533 field_534 ">
                <span class="label">Clasificación de grupo sanguíneo:</span>
                <span class="content">
                  <select name="field_524">
                    <option value=""/>
                    <option value="label.boolean.true">Si</option>
                    <option value="label.boolean.false">No</option>
                  </select>
                </span>
              </div>
              <div class="ELEMENT ELEMENT_DV_BOOLEAN field_535 field_536 ">
                <span class="label">Hemograma:</span>
                <span class="content">
                  <select name="field_525">
                    <option value=""/>
                    <option value="label.boolean.true">Si</option>
                    <option value="label.boolean.false">No</option>
                  </select>
                </span>
              </div>
              <div class="ELEMENT ELEMENT_DV_BOOLEAN field_537 field_538 ">
                <span class="label">Glicemia:</span>
                <span class="content">
                  <select name="field_526">
                    <option value=""/>
                    <option value="label.boolean.true">Si</option>
                    <option value="label.boolean.false">No</option>
                  </select>
                </span>
              </div>
              <div class="ELEMENT ELEMENT_DV_BOOLEAN field_539 field_540 ">
                <span class="label">Azoemia:</span>
                <span class="content">
                  <select name="field_527">
                    <option value=""/>
                    <option value="label.boolean.true">Si</option>
                    <option value="label.boolean.false">No</option>
                  </select>
                </span>
              </div>
              <div class="ELEMENT ELEMENT_DV_BOOLEAN field_541 field_542 ">
                <span class="label">Creatininemia:</span>
                <span class="content">
                  <select name="field_528">
                    <option value=""/>
                    <option value="label.boolean.true">Si</option>
                    <option value="label.boolean.false">No</option>
                  </select>
                </span>
              </div>
            </span>
          </div>
          <div class="ELEMENT ELEMENT_DV_BOOLEAN field_543 field_544 ">
            <span class="label">Gasometría en sangre:</span>
            <span class="content">
              <select name="field_529">
                <option value=""/>
                <option value="label.boolean.true">Si</option>
                <option value="label.boolean.false">No</option>
              </select>
            </span>
          </div>
          <textarea name="field_530"></textarea>
        </span>
      </div>
    </td>
  </tr>
  <tr>
    <td id="left"/>
    <td id="right"/>
  </tr>
  <tr>
    <td colspan="2" id="bottom"/>
  </tr>
</table>
